Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.63 / $12,619.36 / $31,602.88	Facility		$1,448.63	$12,619.36	$31,602.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,367.25	Professional		$1,085.10	$1,085.11	$1,367.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,598.26 / $12,785.40 / $22,096.46	Facility		$3,598.26	$12,785.40	$22,096.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $618.29 / $3,562.26 / $64,999.35	Professional		$618.29	$3,562.26	$64,999.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,167.68 / $9,716.85 / $38,422.04	Facility		$5,167.68	$9,716.85	$38,422.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,548.16 / $8,714.00 / $13,964.00	Facility		$4,548.16	$8,714.00	$13,964.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,010.99 / $3,598.26 / $5,140.03	Facility		$2,010.99	$3,598.26	$5,140.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,351.48 / $31,278.54	Facility		$10,603.20	$16,351.48	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,671.69 / $3,385.04 / $5,464.82	Professional		$2,671.69	$3,385.04	$5,464.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,509.00 / $20,133.59 / $29,875.52	Facility		$3,509.00	$20,133.59	$29,875.52
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00